Ethanol extract of Poria cocos reduces the production of inflammatory mediators by suppressing the NF-kappaB signaling pathway in lipopolysaccharide-stimulated RAW 264.7 macrophages
© Jeong et al.; licensee BioMed Central Ltd. 2014
Received: 17 September 2013
Accepted: 10 March 2014
Published: 15 March 2014
Poria cocos Wolf, a medicinal fungus, is widely used in traditional medicines in East Asian countries owing to its various therapeutic potentials. Although several studies have demonstrated the anti-inflammatory activity of this fungus, its underlying mechanisms have not yet been clearly defined.
In the present study, we have demonstrated the anti-inflammatory effects of ethanol extract of P. cocos (EEPC) in lipopolysaccaride (LPS)-stimulated RAW 264.7 macrophages. As inflammatory parameters, the productions of nitric oxide (NO), prostaglandin E2 (PGE2), interleukin (IL)-1β and tumor necrosis factor (TNF)-α were evaluated. We also examined the EEPC’s effect on the nuclear factor-kappaB (NF-κB) signaling pathway.
Our results indicated that EEPC exhibits a potent inhibitory effect on NO production and inhibits PGE2 release in LPS-induced macrophages without affecting cell viability. EEPC also significantly attenuated LPS-induced secretion of inflammatory cytokines IL-1β and TNF-α. Additionally, LPS-induced expression of inducible NO synthase (iNOS), cyclooxygenase (COX)-2, IL-1β, and TNF-α was decreased by pre-treatment with EEPC at the transcriptional level. Moreover, EEPC clearly inhibited LPS-induced nuclear translocation of NF-κB p65 subunits, which correlated with EEPC’s inhibitory effects on inhibitor kappaB (IκB) degradation. Moreover, EEPC clearly suppressed the LPS-induced DNA-binding activity of NF-κB, as well as the nuclear translocation of the NF-κB p65, which correlated with EEPC’s inhibitory effects on inhibitor kappaB (IκB) degradation.
Taken together, our data indicates that EEPC targets the inflammatory response of macrophages via inhibition of iNOS, COX-2, IL-1β, and TNF-α through inactivation of the NF-κB signaling pathway, supporting the pharmacological basis of P. cocos as a traditional herbal medicine for treatment of inflammation and its associated disorders.
KeywordsPoria cocos RAW 264.7 cells Anti-inflammation NF-κB
Inflammation is an essential aspect of the host’s response to infection and injury caused by invading pathogens to maintain a healthy state. However, excessive or aberrant inflammation leads to the up-regulation of several kinds of pro-inflammatory enzymes such as nitric oxide synthase (NOS) and cyclooxygenase (COX) as mediators of inflammation in affected inflammatory cells, which contribute to many acute and chronic human diseases[1, 2]. NOSs are comprised of three members, including endothelial NOS (eNOS), neuronal NOS (nNOS), and inducible NOS (iNOS), which makes NO from L-arginine, and COX exists as two isozymes, COX-1 and COX-2, converting arachidonic acid into prostaglandins (PGs). Among them, iNOS and COX-2 are highly expressed in response to inflammatory inducers, and are responsible for the production of a huge amount of NO and prostaglandin E2 (PGE2), respectively[3, 4]. The inflammatory response is also well characterized by the abundant production of pro-inflammatory cytokines, such as interleukin-1β (IL-1β) and tumor necrotic factor-α (TNF-α). They are also mainly produced in activated macrophages by inflammatory inducers. Overproduction of IL-1β increases the expression of adhesion factors on endothelial cells to enable transmigration of leukocytes, and is associated with hyperalgesia and fever[5, 6]. In particular, TNF-α is important for stimulating the secretion of other inflammatory cytokines, which, in turn, causes many clinical problems associated with autoimmune disorders[7, 8]. Key pro-inflammatory stimuli including bacterial lipopolysaccharide (LPS), mitogens, and cytokines modulate their effects by inducing the activation of nuclear factor-kappaB (NF-κB), which regulates the expression of many genes involved in immune and inflammatory responses[9, 10]. For this reason, inhibition of pro-inflammatory mediators and cytokines by these NF-κB response genes has been proposed to be a good approach for the treatment of various inflammatory diseases[11, 12].
Poria cocos Wolf is a medicinal mushroom in the Polyporaceae family that grows on the roots of old, dead pine trees. The dried sclerotia of P. cocos has frequently been used as a tonic to benefit the internal organs and is prescribed as one of the chief ingredients in compound prescriptions in traditional Oriental medicine[13–15]. In particular, this fungus is widely used in traditional medicine to treat chronic gastritis, acute gastroenteric catarrh, gastric atony, oedema, nephrosis, dizziness, nausea, and emesis[16, 17]. Many previous studies have indicated that its extracts and components have a variety of biological activities such as anti-fungal and anti-bacterial, antioxidant[19–21], neuroprotective, anti-hypertonic, anti-inflammatory[17, 24–26], anti-angiogenic[27, 28], and anti-cancer effects[29, 30]. However, the claimed benefits and their action mechanisms are not fully understood. In this study, as a part of our on-going screening program to evaluate the anti-inflammatory potentials of medicinal mushrooms, we investigated the anti-inflammatory properties of an ethanol extract of P. cocos (EEPC) and the responsible underlying molecular mechanisms involved in an LPS-stimulated RAW 264.7 murine macrophage model. We found that EEPC down-regulated the production of pro-inflammatory mediators (NO and PGE2) as well as pro-inflammatory cytokines (IL-1β and TNF-α) by suppressing the NF-κB signaling pathway.
LPS, Griess reagent, Tween 20, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT), dimethyl sulfoxide (DMSO), and 4,6-diamidino-2-phenyllindile (DAPI) were purchased from Sigma-Aldrich Chemical Co. (St. Louis, MO, USA). Antibodies against iNOS, COX-2, NF-κB p65, inhibitor kappaB (IκB), nucleolin and actin were purchased from Santa Cruz Biotechnology (Santa Cruz, CA, USA). The peroxidase-labeled donkey anti-rabbit immunoglobulin, peroxidase-labeled sheep anti-mouse immunoglobulin and enhanced chemiluminescence (ECL) detection kit were purchased from Amersham Corp. (Arlington Heights, IL, USA). Dulbecco’s modified Eagle’s minimum essential medium (DMEM) containing l-glutamine (200 mg/L), fetal bovine serum (FBS), penicillin, and streptomycin were obtained from Gibco-BRL (Grand Island, NY, USA). The enzyme-linked immunosorbent assay (ELISA) kits for PGE2, TNF-α, and IL-1β were obtained from R&D Systems (Minneapolis, MN, USA). COX-2, iNOS, TNF-α, IL-6, and GAPDH oligonucleotide primers were purchased from Bioneer (Seoul, Korea). Fluorescein isothiocyanate (FITC)-conjugated donkey anti-rabbit IgG and Fluoromount-G were obtained from Jackson ImmunoResearch Laboratories Inc. (West Grove, PA, USA) and Southern Biotechnology Associates Inc. (Birmingham, AL, USA), respectively. All other chemicals were purchased from Sigma-Aldrich.
Preparation of the ethanol extract of P. cocos (EEPC)
The dried sclerotium of P. cocos were supplied by Dongeui University Oriental Hospital (Busan, Republic of Korea) and authenticated by Professor S.H. Hong, Department of Biochemistry, Dongeui University College of Oriental Medicine. A voucher specimen (accession number DEU-24) was deposited at the Natural Resource Bank of Dongeui University College of Oriental Medicine. To prepare the EEPC, the dried sclerotium of P. cocos was ground into powder and extracted twice with 10 volumes of 80% ethanol at 85-90˚C in a reflux condenser for 3 h. After being filtered through a 0.2-μm filter, the extract was concentrated and lyophilized by vacuum evaporation at 60˚C. The solid form of the extract was dissolved in DMSO prior to the experiment.
Cell culture and MTT assay
The RAW 264.7 macrophage cell line was obtained from American Type Culture Collections (Manassas, VA, USA) and cultured at 37°C in 5% CO2 in DMEM medium supplemented with 10% FBS, 100 units/ml penicillin, and 100 μg/ml streptomycin in the presence or absence of EEPC. The cell viability was measured using a MTT assay. Briefly, RAW 264.7 cells (5?×?105 cells/ml) were treated with the indicated concentrations of EEPC or LPS (0.5 μg/ml) alone, or pre-treated with different concentrations of EEPC for 1 h before LPS treatment. After 24 h, the medium was removed and the cells were incubated with 0.5 mg/ml of MTT solution for 2 h. And then, the supernatant was discarded and the formazan blue, which was formed in the cells, was dissolved with DMSO. The optical density was measured at 540 nm with a microplate reader (Dynatech Laboratories, Chantilly VA, USA).
The nitrite accumulated in culture medium was measured as an indicator of NO production based on the Griess reaction. Briefly, 100 μl of cell culture medium was collected at the end of culture, mixed with an equal volume of Griess reagent, incubated at room temperature. After 10 min, the absorbance at 540 nm was measured using an ELISA plate reader at 540 nm. The concentration of nitrite was calculated from a standard curve drawn with known concentrations of sodium nitrite dissolved in DMEM.
Determination of PGE2, TNF-α, and IL-1β production
RAW 264.7 macrophages were pre-treated with EEPC for 1 h and then stimulated with LPS (0.5 μg/ml) for 24 h. PGE2, TNF-α, and IL-1β levels in macrophage culture media were quantified using ELISA kits according to the manufacturer’s instructions.
RNA isolation and reverse transcriptase polymerase chain reaction (RT-PCR) assay
After the removal of supernatants from cells cultured in the presence of EEPC alone or in combination with LPS for 24 h, total RNA was isolated using TRIzol reagent (Invitrogen Co., Carlsbad, CA, USA) according to the manufacturer’s instructions. From each sample, 2 μg of total RNA was reverse transcribed to single-stranded cDNA by M-MLV reverse transcriptase (Promega, Madison, WI). Then PCR analyses were performed on the aliquots of the cDNA preparations to detect COX-2, iNOS, TNF-α, and IL-1β gene expression. The iNOS, COX-2, IL-1β, and TNF-α genes were amplified from the cDNA using PCR. The PCR primers were as follows: mouse iNOS (5′-ATG TCC GAA GCA AAC ATC AC-3′ and 5′-TAA TGT CCA GGA AGT AGG TG-3′), COX-2 (5′-CAG CAA ATC CTT GCT GTT CC-3′ and 5′-TGG GCA AAG AAT GCA AAC ATC-3′), IL-1β. (5′-ATG GCA ACT GTT CCT GAA CTC AAC T-3′ and 5′-TTT CCT TTC TTA GAT ATG GAC AGG AC-3′), and TNF-α (5′-ATG AGC ACA GAA AGC ATG ATC-3′ and 5′-TAC AGG CTT GTC ACT CGA ATT-3′). After amplification, the PCR products were electrophoresed in 1% agarose gels and visualized by ethidium bromide (EtBr) staining and ultra violet (UV) irradiation. In a parallel experiment, glyceraldehyde-3-phosphate dehydrogenase (GAPDH) was used as an internal control.
Protein extraction and Western blot analysis
After 24 h treatment as described above, the total proteins of RAW 264.7 cells were directly prepared in lysis buffer (0.5% Triton, 50 mM β-glycerophosphate (pH 7.2), 0.1 mM sodium vanadate, 2 mM MgCl2, 1 mM EGTA, 1 mM dithiothreitol, 2 μg/mL leupeptin, 0.1 mM phenylmethylsulfonyl urea, and 4 μg/mL aprotinin). In a parallel experiment, nuclear and cytosloic proteins were prepared using nuclear extraction reagents (Pierce, Rockford, IL, USA) according to the manufacturer’s protocol. The protein concentration in the cell lysate was determined using detergent-compatible protein assay from Bio-Rad (Hercules, CA, USA). Equal amounts of protein were resolved by sodium dodecyl sulfate (SDS)-polyacrylamide gel electrophoresis and transferred to nitrocellulose membrane (Schleicher & Schuell, Keene, NH, USA). Subsequently, the membranes were blocked in Tris-buffered saline (10 mM Tris-Cl, pH 7.4) containing 0.5% Tween 20 and 5% nonfat dry milk for 1 h. After incubation with the appropriate primary antibodies for 1 h, the membranes were incubated for 1 h at room temperature with secondary antibodies conjugated to horseradish peroxidase. The immunoreactive bands were detected by ECL solution.
Electrophoretic mobility assay (EMSA)
EMSA was performed with the nuclear extract. Synthetic complementary NF-κB (5′-AGT TGA GGG GAC TTT CCC AGG C-3′) binding oligonucleotides (Santa Cruz Biotechnology) were 3′-biotinylated using the biotin 3′-end DNA labeling kit (Pierce) according to the manufacturer’s instructions, and annealed for 30 min at room temperature. Assays were loaded onto native 4% polyacrylamide gels pre-electrophoresed for 60 min in 0.5× Tris borate/EDTA before being transferred onto a positively charged nylon membrane (HybondTM-N+) in 0.5 × Tris borate/EDTA at 100 V for 30 min. The transferred DNAs were cross-linked to the membrane at 120 mJ/cm2. Horseradish peroxidase-conjugated streptavidin was used according to the manufacturer’s instructions to detect the transferred DNA.
The NF-κB p65 nuclear localization was detected by immunofluorescence assays using a fluorescence microscope. For this study, RAW 264.7 cells were cultured directly on glass coverslips in 24-well plates for 24 h. After stimulation with LPS in the presence or absence of EEPC, the cells were fixed with 4% paraformaldehyde in PBS, permeabilized with 0.2% triton X-100 in PBS, and blocked with 1.5% normal donkey serum. Polyclonal antibodies against anti-NF-κB p65 (1 μg/well) were applied for 1 h followed by an 1 h incubation with FITC-conjugated donkey anti-rabbit IgG. The position of the cell nucleus was determined with DAPI. After washing with PBS, the coverslips were mounted in Fluoromount-G, and the fluorescence was visualized using a fluorescence microscope (Carl Zeiss, Germany).
All values are presented as mean ± standard deviation (SD). We assessed comparisons between groups by one-way analysis of variance (Dunnett’s t-test) and Student’s t-test. P values ≤ 0.05 were considered statistically significant.
EEPC inhibits LPS-induced NO and PGE2 production in RAW 264.7 macrophages
EEPC down-regulates LPS-induced iNOS and COX-2 expression in RAW 264.7 macrophages
EEPC reduces the production of pro-inflammatory cytokines in LPS-stimulated RAW 264.7 macrophages
EEPC inhibits the nuclear translocation of NF-κB in LPS-stimulated RAW 264.7 macrophages
Effects of EEPC on the viability of RAW264.7 macrophages
Although the dried sclerotia of P. cocos, a well-known medicinal fungus, is widely used in traditional Oriental medicine owing to its multiple beneficial potentials, the molecular targets and the mechanisms underlying its anti-inflammatory activities are still unclear to date. Inhibitors of pro-inflammatory mediators and cytokines have been considered as candidates for anti-inflammatory agents. In the present study, we first demonstrated that EEPC reduced LPS-induced NO and PGE2 production in RAW 264.7 macrophages through down-regulation of iNOS and COX-2 at both the protein and mRNA levels, which suggests that EEPC acts at the transcriptional level. EEPC also reduced the LPS-induced production and mRNA expression of the pro-inflammatory cytokines, IL-1β and TNF-α. Furthermore, these effects were not due to the cytotoxicity of EEPC and were mediated through the inhibition of the nuclear translocation of NF-κB.
Among the pro-inflammatory mediators released by macrophages, NO and PGE2 have been implicated as the main cytotoxic mediators participating in the innate response in mammals. Although NO generation by macrophages is a part of the human immune response, activated macrophages following bacterial infection or inflammatory responses generate a large amount of NO from arginine and oxygen through transcriptional activation of iNOS. Furthermore, excessive release of NO by activated macrophages is correlated with the progression of inflammation-associated disorders[2, 34]. There is mounting evidence for the expression of COX-2, a key enzyme involved in the conversion of arachidonic acid to PGE2, being up-regulated in activated macrophages. In addition, the activation of COX-2 is associated with cytotoxicity at the site of the inflammation, because inhibition of COX-2 induction and/or activity reduces the progression of inflammatory disorders[1, 3]. Thus, down-regulators of these pro-inflammatory mediators have been considered as potential candidates for anti-inflammatory agents to alleviate the progression of inflammatory diseases such as atherosclerosis, chronic hepatitis, pulmonary fibrosis and rheumatoid arthritis caused by the activation of macrophages. Our results clearly demonstrated that EEPC inhibited NO and PGE2 production via the suppression of iNOS and COX-2 expression, respectively, which appears to be due to the transcriptional suppression of these genes (Figures 1 and2).
The release of pro-inflammatory cytokines is elevated predominantly by activated macrophages during pathogen infection and they are involved in the up-regulation of inflammatory reactions. Of these cytokines, IL-1β is a potent activator of immune responses directed against bacterial infections. Abnormal IL-1β release changes the conditions toward a pathological microenvironment, resulting either in chronic inflammation or in the absence of a proper immune surveillance against infections, respectively[6, 35]. In addition, inflammation is often associated with the over-expression of TNF-α, which is a multi-functional cytokine involved in the signaling pathways implicated in inflammation, immunity, cell survival, and even tumorigenesis. This cytokine exhibits its pro-inflammatory activity by regulating several intercellular and vascular cell-adhesion molecules, resulting in the recruitment of leukocytes to sites of inflammation[7, 8]. Moreover, the production of TNF-α and IL-1β is crucially required for the synergistic induction of NO and PGE2 production in LPS-stimulated macrophages[36, 37]. Such findings suggest that the inhibition of these cytokines’ production could be a useful approach as a treatment strategy for various inflammatory diseases. In the current investigation, the concentrations of TNF-α and IL-1β were markedly increased after treatment with LPS in RAW 264.7 macrophages; while pre-treatment with EEPC significantly inhibited this effect in a concentration-dependent manner (Figure 3). We also found that the suppressive effect of EEPC on LPS-induced production of TNF-α and IL-1β was mediated at the transcription level (Figure 4). These findings provide evidence that EEPC possesses potentially useful anti-inflammatory activities.
Of the several transcriptional factors activated by inflammatory responses during bacterial infections, NF-κB plays a critical role in several signal transduction pathways. Hence, agents that are able to inhibit NF-κB transcriptional regulation and modulate the inflammatory response may have therapeutic use, and there is a growing interest among researchers in targeting the NF-κB signaling pathway in the fight against inflammation[11, 12]. In the absence of stimuli, in most cells, NF-κB is associated with inhibitor proteins, IκBs, and as a result, NF-κB is retained in the cytoplasm. However, when the cells are stimulated with pro-inflammatory stimuli, IκBs are rapidly phosphorylated, degraded, and thereby dissociated from NF-κB. The resulting free NF-κB is then translocated into the nucleus, where it binds to the κB elements and induces the transcription of genes encoding pro-inflammatory mediators and cytokines[38, 39]. Thus, we presumed that the above inhibitory effect of EEPC on the LPS-induced overproduction of pro-inflammatory mediators and cytokines involves the NF-κB signaling pathway; we next measured the effects of EEPC on LPS-induced-NF-κB nuclear translocation. Western blotting, EMSA and immunofluorescence results revealed that EEPC inhibited the LPS-induced degradation of IκB-α and the subsequent translocation of the p65 subunit of NF-κB from the cytosol to the nucleus, and markedly attenuated LPS-induced NF-κB binding activity (Figures 5 and6). These data indicated that the anti-inflammatory effect of EEPC might be the result of the inhibition of the degradation of IκB, and then a reduction in NF-κB p65 translocation to the nucleus.
In conclusion, our study demonstrated that EEPC is a potent inhibitor of pro-inflammatory mediators and cytokines in an LPS-stimulated RAW 264.7 murine macrophage cell model via down-regulating the NF-κB signaling pathway to attenuate their corresponding gene activations. Although further studies are still needed, these findings provide a partial molecular explanation for the anti-inflammatory properties of EEPC.
This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) grant funded by the Korea government (No. 2012046358).
- Kalinski P: Regulation of immune responses by prostaglandin E2. J Immunol. 2012, 188: 21-28. 10.4049/jimmunol.1101029.View ArticlePubMedPubMed CentralGoogle Scholar
- Kanwar JR, Kanwar RK, Burrow H, Baratchi S: Recent advances on the roles of NO in cancer and chronic inflammatory disorders. Curr Med Chem. 2009, 16: 2373-2394. 10.2174/092986709788682155.View ArticlePubMedGoogle Scholar
- Minghetti L, Pocchiari M: Cyclooxygenase-2, prostaglandin E2, and microglial activation in prion diseases. Int Rev Neurobiol. 2007, 82: 265-275.View ArticlePubMedGoogle Scholar
- Tsatsanis C, Androulidaki A, Venihaki M, Margioris AN: Signalling networks regulating cyclooxygenase-2. Int J Biochem Cell Biol. 2006, 38: 1654-1661. 10.1016/j.biocel.2006.03.021.View ArticlePubMedGoogle Scholar
- Dinarello CA: A clinical perspective of IL-1β as the gatekeeper of inflammation. Eur J Immunol. 2011, 41: 1203-1217. 10.1002/eji.201141550.View ArticlePubMedGoogle Scholar
- Morgan MM, Clayton CC, Heinricher MM: Dissociation of hyperalgesia from fever following intracerebroventricular administration of interleukin-1beta in the rat. Brain Res. 2004, 1022: 96-100. 10.1016/j.brainres.2004.06.063.View ArticlePubMedGoogle Scholar
- Parameswaran N, Patial S: Tumor necrosis factor-α signaling in macrophages. Crit Rev Eukaryot Gene Expr. 2010, 20: 87-103. 10.1615/CritRevEukarGeneExpr.v20.i2.10.View ArticlePubMedPubMed CentralGoogle Scholar
- Guadagni F, Ferroni P, Palmirotta R, Portarena I, Formica V, Roselli M: Review. TNF/VEGF cross-talk in chronic inflammation-related cancer initiation and progression: an early target in anticancer therapeutic strategy. In Vivo. 2007, 21: 147-161.PubMedGoogle Scholar
- Beinke S, Ley SC: Functions of NF-kappaB1 and NF-kappaB2 in immune cell biology. Biochem J. 2004, 382: 393-409. 10.1042/BJ20040544.View ArticlePubMedPubMed CentralGoogle Scholar
- Sarada S, Himadri P, Mishra C, Geetali P, Ram MS, Ilavazhagan G: Role of oxidative stress and NFkB in hypoxia-induced pulmonary edema. Exp Biol Med (Maywood). 2008, 233: 1088-1098. 10.3181/0712-RM-337.View ArticleGoogle Scholar
- Salminen A, Kauppinen A, Kaarniranta K: Phytochemicals suppress nuclear factor-κB signaling: impact on health span and the aging process. Curr Opin Clin Nutr Metab Care. 2012, 15: 23-28. 10.1097/MCO.0b013e32834d3ae7.View ArticlePubMedGoogle Scholar
- Nam NH: Naturally occurring NF-kappaB inhibitors. Mini Rev Med Chem. 2006, 6: 945-951. 10.2174/138955706777934937.View ArticlePubMedGoogle Scholar
- Lin Z, Gu J, Xiu J, Mi T, Dong J, Tiwari JK: Traditional chinese medicine for senile dementia. Evid Based Complement Alternat Med. 2012, 2012: 692621-PubMedGoogle Scholar
- Li TJ, Qiu Y, Mao JQ, Yang PY, Rui YC, Chen WS: Protective effects of Guizhi-Fuling-Capsules on rat brain ischemia/reperfusion injury. J Pharmacol Sci. 2007, 105: 34-40. 10.1254/jphs.FP0070450.View ArticlePubMedGoogle Scholar
- Zee-Cheng RK: Shi-quan-da-bu-tang (ten significant tonic decoction), SQT. A potent Chinese biological response modifier in cancer immunotherapy, potentiation and detoxification of anticancer drugs. Methods Find Exp Clin Pharmacol. 1992, 14: 725-736.PubMedGoogle Scholar
- Zhao YY, Feng YL, Du X, Xi ZH, Cheng XL, Wei F: Diuretic activity of the ethanol and aqueous extracts of the surface layer of Poria cocos in rat. J Ethnopharmacol. 2012, 144: 775-778. 10.1016/j.jep.2012.09.033.View ArticlePubMedGoogle Scholar
- Rios JL: Chemical constituents and pharmacological properties of Poria cocos. Planta Med. 2011, 77: 681-691. 10.1055/s-0030-1270823.View ArticlePubMedGoogle Scholar
- Zhang L, Ravipati AS, Koyyalamudi SR, Jeong SC, Reddy N, Bartlett J, Smith PT, de la Cruz M, Monteiro MC, Melguizo A, Jiménez E, Vicente F: Anti-fungal and anti-bacterial activities of ethanol extracts of selected traditional Chinese medicinal herbs. Asian Pac J Trop Med. 2013, 6: 673-681. 10.1016/S1995-7645(13)60117-0.View ArticlePubMedGoogle Scholar
- Park YH, Son IH, Kim B, Lyu YS, Moon HI, Kang HW: Poria cocos water extract (PCW) protects PC12 neuronal cells from beta-amyloid-induced cell death through antioxidant and antiapoptotic functions. Pharmazie. 2009, 64: 760-764.PubMedGoogle Scholar
- Zhou L, Zhang Y, Gapter LA, Ling H, Agarwal R, Ng KY: Cytotoxic and anti-oxidant activities of lanostane-type triterpenes isolated from Poria cocos. Chem Pharm Bull (Tokyo). 2008, 56: 1459-1462. 10.1248/cpb.56.1459.View ArticleGoogle Scholar
- Wu SJ, Ng LT, Lin CC: Antioxidant activities of some common ingredients of traditional chinese medicine, Angelica sinensis, Lycium barbarum and Poria cocos. Phytother Res. 2004, 18: 1008-1012. 10.1002/ptr.1617.View ArticlePubMedGoogle Scholar
- Chung TW, Koo BS, Choi EG, Kim MG, Lee IS, Kim CH: Neuroprotective effect of a chuk-me-sun-dan on neurons from ischemic damage and neuronal cell toxicity. Neurochem Res. 2006, 31: 1-9.View ArticlePubMedGoogle Scholar
- Lee SM, Lee YJ, Yoon JJ, Kang DG, Lee HS: Effect of Poria cocos on hypertonic stress-induced water channel expression and apoptosis in renal collecting duct cells. J Ethnopharmacol. 2012, 141: 368-376. 10.1016/j.jep.2012.02.048.View ArticlePubMedGoogle Scholar
- Fuchs SM, Heinemann C, Schliemann-Willers S, Härtl H, Fluhr JW, Elsner P: Assessment of anti-inflammatory activity of Poria cocos in sodium lauryl sulphate-induced irritant contact dermatitis. Skin Res Technol. 2006, 12: 223-227. 10.1111/j.0909-752X.2006.00168.x.View ArticlePubMedGoogle Scholar
- Cuellar MJ, Giner RM, Recio MC, Just MJ, Mañez S, Rios JL: Effect of the basidiomycete Poria cocos on experimental dermatitis and other inflammatory conditions. Chem Pharm Bull (Tokyo). 1997, 45: 492-494. 10.1248/cpb.45.492.View ArticleGoogle Scholar
- Yasukawa K, Kaminaga T, Kitanaka S, Tai T, Nunoura Y, Natori S, Takido M: 3 beta-p-hydroxybenzoyldehydrotumulosic acid from Poria cocos, and its anti-inflammatory effect. Phytochemistry. 1998, 48: 1357-1360. 10.1016/S0031-9422(97)01063-7.View ArticlePubMedGoogle Scholar
- Sagar SM, Yance D, Wong RK: Natural health products that inhibit angiogenesis: a potential source for investigational new agents to treat cancer-Part 1. Curr Oncol. 2006, 13: 14-26.PubMedPubMed CentralGoogle Scholar
- Yance DR, Sagar SM: Targeting angiogenesis with integrative cancer therapies. Integr Cancer Ther. 2006, 5: 9-29. 10.1177/1534735405285562.View ArticlePubMedGoogle Scholar
- Cheng S, Eliaz I, Lin J, Sliva D: Triterpenes from Poria cocos suppress growth and invasiveness of pancreatic cancer cells through the downregulation of MMP-7. Int J Oncol. 1869–1874, 2013: 42-Google Scholar
- Kikuchi T, Uchiyama E, Ukiya M, Tabata K, Kimura Y, Suzuki T, Akihisa T: Cytotoxic and apoptosis-inducing activities of triterpene acids from Poria cocos. J Nat Prod. 2011, 74: 137-144. 10.1021/np100402b.View ArticlePubMedGoogle Scholar
- Kyung J, Kim D, Park D, Yang YH, Choi EK, Lee SP, Kim TS, Lee YB, Kim YB: Synergistic anti-inflammatory effects of Laminaria japonica fucoidan and Cistanche tubulosa extract. Lab Anim Res. 2012, 28: 91-97. 10.5625/lar.2012.28.2.91.View ArticlePubMedPubMed CentralGoogle Scholar
- Lee SH, Kim DW, Eom SA, Jun SY, Park M, Kim DS, Kwon HJ, Kwon HY, Han KH, Park J, Hwang HS, Eum WS, Choi SY: Suppression of 12-O-tetradecanoylphorbol-13-acetate (TPA)-induced skin inflammation in mice by transduced Tat-Annexin protein. BMB Rep. 2012, 45: 354-359. 10.5483/BMBRep.2012.45.6.036.View ArticlePubMedGoogle Scholar
- Lee YH, Jeon SH, Kim SH, Kim C, Lee SJ, Koh D, Lim Y, Ha K, Shin SY: A new synthetic chalcone derivative, 2-hydroxy-3′,5,5′-trimethoxychalcone (DK-139), suppresses the Toll-like receptor 4-mediated inflammatory response through inhibition of the Akt/NF-κB pathway in BV2 microglial cells. Exp Mol Med. 2012, 44: 369-377. 10.3858/emm.2012.44.6.042.View ArticlePubMedPubMed CentralGoogle Scholar
- Tinker AC, Wallace AV: Selective inhibitors of inducible nitric oxide synthase: potential agents for the treatment of inflammatory diseases?. Curr Top Med Chem. 2006, 6: 77-92. 10.2174/156802606775270297.View ArticlePubMedGoogle Scholar
- Dinarello CA: Immunological and inflammatory functions of the interleukin-1 family. Annu Rev Immunol. 2009, 27: 519-550. 10.1146/annurev.immunol.021908.132612.View ArticlePubMedGoogle Scholar
- Babcock TA, Helton WS, Anwar KN, Zhao YY, Espat NJ: Synergistic anti-inflammatory activity of omega-3 lipid and rofecoxib pretreatment on macrophage proinflammatory cytokine production occurs via divergent NF-kappaB activation. JPEN J Parenter Enteral Nutr. 2004, 28: 232-239. 10.1177/0148607104028004232.View ArticlePubMedGoogle Scholar
- Aggarwal BB, Natarajan K: Tumor necrosis factors: developments during the last decade. Eur Cytokine Netw. 1996, 7: 93-124.PubMedGoogle Scholar
- Lawrence T, Fong C: The resolution of inflammation: anti-inflammatory roles for NF-kappaB. Int J Biochem Cell Biol. 2010, 42: 519-523. 10.1016/j.biocel.2009.12.016.View ArticlePubMedGoogle Scholar
- Karin M, Greten FR: NF-kappaB: linking inflammation and immunity to cancer development and progression. Nat Rev Immunol. 2005, 5: 749-759. 10.1038/nri1703.View ArticlePubMedGoogle Scholar
- The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1472-6882/14/101/prepub
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.